Impact of a multidisciplinary evaluation in pediatric patients with nocturnal monosymptomatic enuresis

Autor(es)

Fagundes, Simone Nascimento ^[1] ; Soster, Leticia Azevedo ^[2] ; Lebl, Adrienne Surri ^[1] ; Rodrigues Pereira, Rita Pavione ^[3] ; Tanaka, Clarice ^[3] ; Pereira, Rodrigo Fernando ^[4] ; de Mattos Silvares, Edwiges Ferreira ^{[5, 6]} ; Koch, Vera H. ^{[7, 1]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Pediat Nephrol Unit, Inst Crianca Hosp Clin, Sch Med, Rua Lydia Ferrari Magnoli, BR-03227085 Sao Paulo - Brazil

^[2] Univ Sao Paulo, Pediat Sleep Lab, Inst Crianca Hosp Clin, Sch Med, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Dept Phys Therapy Speech Therapy & Occupat Therap, Sch Med, Sao Paulo - Brazil

^[4] ABC Med Sch, Dept Urol, Sao Paulo - Brazil

^[5] Univ Sao Paulo, Dept Psychol, Sao Paulo - Brazil

^[6] Univ Sao Paulo, Dept Clin Psychol, Sao Paulo - Brazil

^[7] Univ Sao Paulo, Dept Pediat, Sch Med, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Pediatric Nephrology; v. 31, n. 8, p. 1295-1303, AUG 2016.
• Citações Web of Science: 9

Resumo

Background Enuresis (NE) is a clinical condition of multifactorial etiology that leads to difficulties in child/adolescent social interaction. This was a prospective study on the impact of multidisciplinary assessment of 6- to 17-year-old patients with monosymptomatic nocturnal enuresis (MNE), including a structured history, clinical/neurological examination, bladder and bowel diaries, sleep diary and questionnaires, psychological evaluation {[}Child Behavior Checklist (CBCL) and PedsQL 4.0 questionnaires], urinary sonography, blood and urine laboratory tests, polysonography (PSG), and balance evaluation. A total of 140 enuretic participants were evaluated, of whom 27 were diagnosed with NE complicated by urinary disorder, four with hypercalciuria, three with nephropathy and one with attention-deficit hyperactivity disorder. Among the 87 participants who underwent PSG, six were diagnosed with severe apnea. Of the 82 MNE patients who underwent full assessment, 62 were male (75.6 %), and the mean age was 9.5 (+/- 2.6) years. A family history of NE was diagnosed in 91.1 % of first- and second-degree relatives, constipation in 89.3 % and mild/moderate apnea in 40.7 %. Balance control alteration was identified by physical therapy evaluation of MNE patients. Participants' quality of life evaluation scores were significantly lower than those of their parents. Enuresis is a multifactorial disorder that requires a structured diagnostic approach. (AU)

• Processo FAPESP: 11/17589-1 - Enurese noturna monossintomática em pacientes pediátricos: avaliação transdisciplinar e dimensionamento dos efeitos da intervenção terapêutica sobre o padrão da polissonografia
• Beneficiário: Vera Hermina Kalika Koch
• Modalidade de apoio: Auxílio à Pesquisa - Regular